Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $344.00 / $434.80	Facility		$50.50	$344.00	$434.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $453.45	Professional		$38.00	$50.50	$453.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $240.75 / $358.25 / $2,400.00	Professional		$240.75	$358.25	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $276.00 / $379.60	Professional		$212.00	$276.00	$379.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $80.00 / $148.40	Professional		$46.64	$80.00	$148.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.50 / $260.00 / $376.25	Facility		$222.50	$260.00	$376.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $291.20 / $363.44	Professional		$233.60	$291.20	$363.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $322.50 / $421.00	Professional		$267.50	$322.50	$421.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $61.00 / $87.00	Professional		$46.00	$61.00	$87.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $86.15 / $86.15	Professional		$86.15	$86.15	$86.15